Hofessur Hall
Carroll Community College
Division of STEM, Nursing and Alied Health
Department of Nursing
NURS 140 ~ Nursing Concepts 2
'SUMMATIVE Student Clinical Performance Evaluation
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“Gre unease gage ina rca behavior “we needs improvements na crical behavior
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Outcome 4 Era | Student
‘osh e nurig process when inlementng alan of eae (CSLOY sn _| ‘Siw
1. roizes patent cae based on assessment wth stsitance S
2. Demonstrates accurate patient assessment skis Ss
3._Incoperates deta fom the patent's medial record te provaionofcare
‘4 Uses patient aszossment data to ceveiop inviualized plan of care with aitance Tos
'° tablones appropri uring cogneses based on cae
sssenomen wih aatonce £
@_Esfablehes neseuabe patent oulcorea bese on nung daqnods wih asianes
7. Establishes appropriate nursing interventions based on assessment with assistance Sos
{8 Evahates patent response lo cre and revises lana neaded wih assistance S -
Sit |e
| ‘sot | Evalot
outcome 2 Era | Stdent
Paricate in ooprturtes that eromoteerofesionl art (CSLO2) su _| ‘Sav
9. Demonstate professional behavior end appearance ss
“OT Seeks np fom patent, instr an heathcae tea n We Geivery a pean
centered care S [ss
TH Demonstrates accounteliy and acces responsibly for own actions and altudes =
12 “adheres to alendance pole STs
13. Paricpatesaciey nalcineal expeterces
"4 Engaesin seeecton and communes ering need oir z
15 Completes sagrments as reguted and pants on ie |
| Siocon | svotor
‘at | ‘Evalo!
outcome 3 Bat | Student
Provide patent conte care wth assistance (CSLO3) _sniu_| “SN
46. *molemens appropiate econ contol precautions Sts
17. Provides culturally sensitive care with assistance 5
18. Decumens patent care accutely wih asstance STs
19. Uses erapeute communcaon ks
20_Falows tough wi al patent care wit assiance 7
Demonstrates knowledge of edeatos for assigned palanis
72. “Admnsiers edcaton safely using Sx rights of medication adminsaton
23. Demonstates cating behavior
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ssssiance
25 Ace as an acvecte for pals and fares wih astanes
pepoves 244 Rees tana 12015Carroll Community College
Division of STEM, Nursing and Alied Health
Department of Nursing
NURS 140 ~ Nursing Concepts 2
___ SUMMATIVE Student Clinical Performance Evaluation
26, “Demonsvaes hysicl and mental competence
2-“res sly cone artes nave On PORTE POAT TT
26. Demonstrate ime management echniques
‘2 Implements patent and far education
‘30. "Updates insvacor and healthcare team regarding changes inthe patent's condition =
31. *Prowdes nursing care based on the polies and procedures ofthe fei
~s, “Aaheres to HPAA guidelines _
‘34 “Proves care acoording to ANA Scope and Standards of Nursing Pracice
‘Sent Tattler
‘Sel | ‘Eval
‘outcome 4 Eva | Student
‘Plan nursing cre bese on sient evgence (C8108) sav | “SN
35 ust pale a cure evdenes s
Student Reflection (Thoroughly answor al quostons)
How has this clinical rotation helped to define your role as a nurse? Please explain. Geot
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Which objective did you accomplish dliring this rotation? How did you dot? +) (oe Her Care }
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What are your goals for your next clinical rotation?
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Faculty Comment Stadent Learning Goale(Goale must be evabiahed even paoance &satwTadory
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with goals to improve performance)
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